Inter-Departmental Correspondence

Health System



December 3, 2010


January 11, 2011







Honorable Board of Supervisors



Jean S. Fraser, Chief, Health System


Louise Rogers, Director, Behavioral Health & Recovery Services



Second Amendment to the Agreement with Caminar



Adopt a Resolution authorizing the President of the Board to execute a Second Amendment to the Agreement with Caminar for the provision of additional technical assistance, and adding the “Seeking Safety” service model, increasing the maximum obligation by $107,853 to a new maximum of $6,701,728, with no change to the term of July 1, 2010 through June 30, 2011.



On June 8, 2010, your Board approved an Agreement with Caminar to provide housing and housing-related services, supported education services, intensive case management services, and rehabilitation services for the term July 1, 2010 through June 30, 2011. On September 2, 2010, the Chief of the Health System approved an Amendment to the Agreement to hire a consultant to implement the new Behavioral Health and Recovery Services (BHRS) Electronic Medical Record software Avatar, to members of the San Mateo Contractor’s Association and increase the maximum obligation by $25,000 to a new maximum of $6,593,875.



BHRS is implementing a new electronic medical record system called Avatar. As part of the rollout for this system, BHRS is making it available to agency providers. Technical assistance will be necessary to ensure a smooth rollout of this system. The Contractors Association, which is comprised of all BHRS contract agencies, selected Caminar to administrate the technical assistance necessary to complete the rollout. Because more agencies have taken part in the rollout than was originally anticipated, it is necessary to increase the contract maximum. The maximum for technical assistance is being increased by $24,853.


In May 2010 BHRS issued a Request for Proposals (RFP) for the provision of prevention and early intervention services for transition age youth, provided in a non-traditional behavioral health setting, building on the specific service model, “Seeking Safety.” Seeking Safety is a present-focused therapy to help people attain safety from trauma/Post Traumatic Stress Disorder (PTSD) and substance abuse. Caminar responded with a proposal that was selected for the provision of these services.


Contractor shall provide services in group and individual format; in a variety of settings; using Seeking Safety curriculum; for both substance abuse and dependence; and for people who have a trauma history, but do not meet the criteria for PTSD. The Agreement with Caminar is being amended to add Seeking Safety services increasing maximum obligation by $83,000.


The Amendment and Resolution have been reviewed and approved by County Counsel. The Contractor’s insurance has been approved by Risk Management.


The Contractor has assured compliance with the County's Contractor Employee Jury Service Ordinance, as well as all other contract provisions that are required by County ordinance and administrative memoranda, including but not limited to insurance, hold harmless, non-discrimination and equal benefits.


Approval of this Amendment contributes to the Shared Vision 2025 outcome of a Healthy Community through the provision of mental health rehabilitation services and long-term care treatment for seriously mentally ill San Mateo County residents. BHRS provides a range of services to consumers of mental health and alcohol and other drug services in order for them to remain in the lowest possible level of care. The provision of prevention and early intervention services is one established level of care. The services provided through this amended Agreement contribute to this measure. It is anticipated that 77% of clients receiving services through this amended Agreement will be maintained at their current or a lower level of care.


Performance Measure:


FY 2009-10

    FY 2010-11

Percentage of clients maintained at current or lower level of care.





The term of the amended Agreement remains July 1, 2010 through June 30, 2011. The Agreement maximum is being increased by $107,853 to a new maximum of $6,701,728 which has been included in the BHRS FY 2010-11 Adopted Budget. Of the amended amount, 100% will be funded through Mental Health Services Act funds. There is no Net County Cost.